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Silver Hills Health Care Center

⌖ Las Vegas, NV · Clark County
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Medicare overall rating 2 of 5 stars
Certified beds155
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)

About Silver Hills Health Care Center

Silver Hills Health Care Center is a 155-bed for-profit nursing home in Las Vegas, NV. Medicare rates it 2 out of 5 stars overall (below average); the average in Nevada is 3.1.

  • Inspections: 10 problems at its last full inspection (Aug 2025), close to the Nevada average of 9.7. None of its recent citations were for residents being harmed.
  • Staffing: nurses and aides spend about 3 hr 42 min a day with each resident, less than the Nevada average of 4 hr 21 min. About 72% of nursing staff left in the past year.
  • Fines: no federal fines in the last three years.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

Key details

Facility nameSilver Hills Health Care Center
LocationClark County, Nevada
Address3450 N Buffalo Dr, Las Vegas, NV 89129 · Clark County
Medicare provider number295066
Ownership typeFor-profit (corporation)
Operating companyCovenant Care · 11 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceOctober 21, 1998 (27 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating2 of 5Below average
Health inspections2 of 5Below average
Quality measures5 of 5Much above average
Staffing1 of 5Much below average

Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

2 strengths and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone since Aug 2025No citations for actual harm or immediate jeopardy since Aug 2025.
    Strength
  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength

About average

  • Health citations at last inspection10 (Aug 2025)Nevada average: 9.7.
    About average

Things to ask about

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  • Nurse staffing per resident3 hr 42 min a dayNevada average: 4 hr 21 min
    Worse than state average
  • Registered nurse time per resident31 min a dayNevada average: 1 hr 07 min
    Worse than state average
  • Nursing staff turnover72% a yearNevada average: 45%
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Nevada average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 3 of 5 (average)

  • Sent back to the hospital27.6%State average: 23.2%
    About average
  • Needed an emergency room visit9.5%State average: 9.6%
    About average
  • Newly given antipsychotic drugs0.7%State average: 1.8%
    Better than average

Physical therapist time: about 7 minutes a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is about the same as the state average of 6 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 5 of 5 (much above average)

  • Falls with a major injury2.4%State average: 2.0%
    Worse than average
  • Pressure sores (bedsores)3.8%State average: 5.4%
    Better than average
  • Given antipsychotic drugs6.5%State average: 17.1%
    Better than average
  • Hospital stays per 1,000 resident days1.6State average: 1.8
    About average

Source: Medicare (CMS) quality measures, compared with the Nevada average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Nevada, Medicaid pays for 64% of resident days at a typical home.

  • 47% Medicaid
  • 11% Medicare
  • 42% Private pay, insurance and other
Beds in use, on average82%Nevada typical: 88%
Facility operating cost per resident day$472Nevada typical: $445

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 2 stars now, down from 5 stars in January 2019. It has ranged from 2 to 5 stars and changed 13 times.

Overall rating2★
Health inspections2★
Staffing1★
Quality of care5★
Nurse hours per resident per day3.7
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201953454.0
Jan 202054453.9
Jan 202153453.9
Jan 202221453.9
Jan 202332353.7
Jan 202443354.0
Feb 202544444.0
Feb 202622243.2
Sep 202622153.7

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.